Provider Type Icon

MONIQUE RAQUEL WILLINGHAM CRNP NPI 1912171885


NPI Information

NPI: 1912171885
Provider Name: MONIQUE RAQUEL WILLINGHAM, CRNP
Classification: Nurse Practitioner - 363L00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
53 OLD SOLOMONS ISLAND RD STE C
ANNAPOLIS, MD
ZIP 21401
Phone: (443) 570-5946
Get Directions

Monique Raquel Willingham, CRNP is a nurse practitioner in Annapolis, MD. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Monique Raquel Willingham, CRNP NPI is 1912171885. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

53 OLD SOLOMONS ISLAND RD STE C
ANNAPOLIS, MD
ZIP 21401-872
Phone: (443) 570-5946

The NPI 1912171885 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/22/2008 and was last updated on 3/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult HealthR160232MARYLANDNo
2363LF0000XNurse PractitionerFamilyR160232MARYLANDNo
3363L00000XNurse PractitionerR160232MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1V8740008OTHERDISTRICT OF COLUMBIABCBS
2937526-04OTHERMARYLANDBCBS
36550091OTHERMARYLANDAETNA HMO
4937526-02OTHERMARYLANDBCBS
5V8080008OTHERDISTRICT OF COLUMBIABCBS
6414704900MEDICAIDMARYLAND
7V8380008OTHERDISTRICT OF COLUMBIABCBS
8937526-03OTHERMARYLANDBCBS
99394371OTHERMARYLANDAETNA PPO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.